A. Cerebral vascular thrombosis
B. Cluster headache
E. Impending eclampsia
J. Severe pre-eclampsia
M. Viral gastritis
For each of the following clinical scenario, choose the single diagnosis most appropriate treatment. Each option may be used once, more than once or not at all.
1. A 27-yr old primigravid woman at 24 weeks of pregnancy is complaining of throbbing pain behind her left eye. This pain is so severe that she cannot sit still.
2. An 18-yr old primigravid woman at 36 weeks of pregnancy is complaining of sudden onset of headaches, abdominal pain and a sensation of flashing lights in front of eyes.
3. A history of travel is reported; therefore the most likely diagnosis is cerebral malaria, which is suggestive of severe headache and vomiting.
4. A 35-yr old parous woman at 20 weeks of pregnancy complaints f severe headaches and feeling tired, feverish and stiff around the neck.
5. A recently delivered multiparous woman with BMI of 45 complains on day 3 post-partum of sudden onset of severe headache, describing it as ‘the worst headache I ever had’.
A. Diabetes ketoacidosis
I. Tension pneumothorax
L. Concealed abruption
M. Vasovagal faint
You have been called to see a collapsed patient. For each of the following clinical scenarios, choose the single most appropriate cause of collapse. Each option may be used once, more than once or not at all. 6. You are asked to urgently see an unbooked pregnancy. She collapsed in A&E with constant severe abdominal pain. She has no vaginal bleeding. On examination she has a gravid uterus, approximately 34cm, and you are unable to discern presentation due to a tense ‘woody’ abdomen. She smells heavily of cigarette smoke.
7. Your SHO calls you to A&E to see a woman day 6 following a normal vaginal delivery referred in by the GP. The referral letter tells you she had an induction at 38 weeks for severe PE, with no significant blood loss. She has had central chest pain for the last 12 hours.
8. You respond to the emergency buzzer call-out for room 6, a woman whom you delivered by ventouse 4 hours ago. She had a syntocinon infusion. The midwife tells you that she stood up to go to the shower and fainted.